Kelly Rosa
NPI #1760216386 in Summit Point, West Virginia
Provider Information
- NPI Number
- 1760216386
- Entity Type
- Individual
- Name
- Kelly Rosa
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Aug 27, 2024
- Last Updated
- Aug 27, 2024
Practice Location
- Address
- 495 QUAIL RUN RD
- City
- Summit Point
- State
- West Virginia
- ZIP Code
- 25446-3609
- Phone
- (703) 209-4476
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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